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Medicare Fraud, Waste & Abuse

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The Academy has taken a leading role in the effort to combat fraud, waste and abuse in the Medicare system. The Academy is collaborating with the CMS Outreach and Education MEDIC (Medicare Integrity Contractor) to combat fraud, waste and abuse in Medicare Parts C and D. The collaborative effort stems from AMCP’s work with Congress and the Obama Administration to introduce legislation that would suspend payment of claims to pharmacies where there is a credible allegation of fraud.

The CMS O&E MEDIC is responsible for sharing information and creating tools that enable anti-fraud professionals to work smarter on fraud in Medicare Parts C and D.